Maxwell Wallace, M.D.
NPI 1588195267 · Neurology with Special Qualifications in Child Neurology Physician · Saint Louis, MO
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maxwell Wallace, M.D. is a Neurology with Special Qualifications in Child Neurology Physician provider in Saint Louis, MO (NPI 1588195267).
Provider details
- NPI number
- 1588195267
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2022027207 (MO)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 2022027207 (MO)
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-03-23
- Last updated
- 2022-08-22
- Certified
- 2022-08-22
Frequently asked questions
- What is Maxwell Wallace's NPI number?
- Maxwell Wallace's National Provider Identifier (NPI) is 1588195267, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maxwell Wallace's specialty?
- Maxwell Wallace is listed in the NPPES registry with a primary specialty of Neurology with Special Qualifications in Child Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Maxwell Wallace located?
- Maxwell Wallace's practice location on file with NPPES is 1465 S Grand Blvd, Saint Louis, MO 63104-1003.
- What is Maxwell Wallace's phone number?
- The practice phone number listed in the NPPES registry for Maxwell Wallace is (314) 577-5634.
- Does Maxwell Wallace accept Medicare?
- Maxwell Wallace is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Maxwell Wallace's NPI active?
- Yes — Maxwell Wallace's NPI (1588195267) is active in the NPPES registry as of the last update on 2022-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.